Republic of the Philippines LH-1-01

Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506

AUTHORITY TO TRAVEL No.315903 - _____

REGION: XI
BUREAU/DIVISION/SCHOOL: ANIBONGAN NATIONAL HIGH SCHOOL
DATE OF FILING
CERTIFICATION
NAME
PERMANENT STATION ANIBONGAN NATIONAL HIGH SCHOOL
POSITION/DESIGNATION This is to certify that the above employee appeared in this Office
PURPOSE for the above purpose.
PLEASE CHECK Official Business Official Time
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING _____________________ _____________ ___________
Approved: Signature over printed name Position Date

_______________ ERIC P. INDIE, EdD (Note: This portion shall be filled out by the Official/authorized personnel
Signature of Requesting (Head of the Office or his/her of the Office visited
Official/Employee Authorized Representative)
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________ Date:_________________

F-1-004.Rev 0/September 05, 2019

Republic of the Philippines LH-1-01

Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506

AUTHORITY TO TRAVEL No.315903 - _____

REGION: XI
BUREAU/DIVISION/SCHOOL: ANIBONGAN NATIONAL HIGH SCHOOL
DATE OF FILING
CERTIFICATION
NAME
PERMANENT STATION ANIBONGAN NATIONAL HIGH SCHOOL
POSITION/DESIGNATION This is to certify that the above employee appeared in this Office
PURPOSE for the above purpose.
PLEASE CHECK Official Business Official Time
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING _____________________ _____________ ___________
Approved: Signature over printed name Position Date

_______________ ERIC P. INDIE, EdD (Note: This portion shall be filled out by the Official/authorized personnel
Signature of Requesting (Head of the Office or his/her of the Office visited
Official/Employee Authorized Representative)
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________ Date:_________________

F-1-004.Rev 0/September 05, 2019

 Republic of the Philippines LH-1-01
Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506

AUTHORITY TO TRAVEL No.315903 - _____

REGION: XI
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
CERTIFICATION
NAME
PERMANENT STATION
POSITION/DESIGNATION This is to certify that the above employee appeared in this Office
PURPOSE ATTEND SIPMEA PRESENTATION for the above purpose.
PLEASE CHECK Official Business ✘ Official Time
DESTINATION ANIBONGAN NHS
DATE AND TIME OF
EVENT/ TRANSACTION/ 1/21/2020
MEETING ERIC P. INDIE, EdD School Head 1/21/2020
Recommeding Approval: Approved: Signature over printed name Position Date

ROMMEL R. JANDAYAN, EdD DEE D. SILVA, DPA, CESO V

(Note: This portion shall be filled out by the Official/authorized personnel
(Division Chief / ASDS) Schools Division Superintendent of the Office visited

*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________ Date:_________________

F-1-004.Rev 0/September 05, 2019

Republic of the Philippines LH-1-01

Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506

AUTHORITY TO TRAVEL No.315903--_____

No.315903 _____

REGION: XI
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
CERTIFICATION
NAME
PERMANENT STATION
POSITION/DESIGNATION This is to certify that the above employee appeared in this Office
PURPOSE ATTEND SIPMEA PRESENTATION for the above purpose.
PLEASE CHECK Official Business ✘ Official Time
DESTINATION ANIBONGAN NHS
DATE AND TIME OF
EVENT/ TRANSACTION/ 1/21/2020
MEETING School Head 1/21/2020
Recommeding Approval: Approved: Signature over printed name Position Date

(Note: This portion shall be filled out by the Official/authorized personnel

(Division Chief / ASDS) Schools Division Superintendent of the Office visited

*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________ Date:_________________

F-1-004.Rev 0/September 05, 2019

 Republic of the Philippines LH-1-01
Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506

LOCATOR SLIP No.315903 - _____

REGION: XI
BUREAU/DIVISION/SCHOOL: ANIBONGAN NATIONAL HIGH SCHOOL
DATE OF FILING
CERTIFICATION
NAME
PERMANENT STATION ANIBONGAN NATIONAL HIGH SCHOOL
POSITION/DESIGNATION This is to certify that the above employee appeared in this Office
PURPOSE for the above purpose.
PLEASE CHECK Official Business Official Time
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING _____________________ _____________ ___________
Approved: Signature over printed name Position Date

_______________ (Note: This portion shall be filled out by the Official/authorized personnel
Signature of Requesting (Head of the Office or his/her of the Office visited
Official/Employee Authorized Representative)
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________ Date:_________________

F-1-004.Rev 0/September 05, 2019

Republic of the Philippines LH-1-01

Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506

LOCATOR SLIP No.315903 - _____

REGION: XI
BUREAU/DIVISION/SCHOOL: ANIBONGAN NATIONAL HIGH SCHOOL
DATE OF FILING
CERTIFICATION
NAME
PERMANENT STATION ANIBONGAN NATIONAL HIGH SCHOOL
POSITION/DESIGNATION This is to certify that the above employee appeared in this Office
PURPOSE for the above purpose.
PLEASE CHECK Official Business Official Time
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING _____________________ _____________ ___________
Approved: Signature over printed name Position Date

_______________ (Note: This portion shall be filled out by the Official/authorized personnel
Signature of Requesting (Head of the Office or his/her of the Office visited
Official/Employee Authorized Representative)
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________ Date:_________________

F-1-004.Rev 0/September 05, 2019

 Republic of the Philippines LH-1-01 Republic of the Philippines LH-1-01
DEPARTMENT OF EDUCATION Revision No. 0 DEPARTMENT OF EDUCATION Revision No. 0
Region XI Effectivity: April 15, Region XI Effectivity: April 15, 2019
DIVISION OF DAVAO DEL NORTE 2019 DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712 TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506 Tel. No. (084) 216-6742 / Telefax (084) 216-6506

CONTROL NO: CONTROL NO:

AUTHORITY TO TRAVEL 315903- ____
AUTHORITY TO TRAVEL 315903 - ____

REGION: XI REGION: XI

BUREAU/DIVISION/SCHOOL: DAVAO DEL NORTE BUREAU/DIVISION/SCHOOL: DAVAO DEL NORTE

DATE OF FILING DATE OF FILING

NAME ERIC PASCUAL INDIE NAME ERIC PASCUAL INDIE

PERMANENT STATION ANIBONGAN NATIONAL HIGH SCHOOL PERMANENT STATION ANIBONGAN NATIONAL HIGH SCHOOL

POSITION/DESIGNATION SCHOOL HEAD/HT III POSITION/DESIGNATION SCHOOL HEAD/HT III

PURPOSE OF TRAVEL PURPOSE OF TRAVEL

ACTIVITY ORGANIZED/ ACTIVITY ORGANIZED/
SPONSORED BY SPONSORED BY
PERIOD COVERED PERIOD COVERED
(Inclusive of Travel Time) (Inclusive of Travel Time)
PLEASE CHECK ✘ Official Business Official Time PLEASE CHECK ✘ Official Business Official Time

VENUE/DESTINATION VENUE/DESTINATION

EXPENSES COVERED TRAVEL, PER DIEM EXPENSES COVERED TRAVEL, PER DIEM

FUND SOURCE FUND SOURCE

MOOE MOOE
(PAP CODE/…) (PAP CODE/…)

Recommeding Approval: Approved: Recommeding Approval: Approved:

(Division Chief / ASDS) Schools Division Superintendent (Division Chief / ASDS) Schools Division Superintendent

Date: ______________ Date: ______________ Date: ______________ Date: ______________

F-1-005.Rev 0/ September 05, 2019 F-1-005.Rev 0/ September 05, 2019

 Republic of the Philippines LH-1-01 Republic of the Philippines LH-1-01
DEPARTMENT OF EDUCATION Revision No. 0 DEPARTMENT OF EDUCATION Revision No. 0
Region XI Effectivity: April 15, Region XI Effectivity: April 15, 2019
DIVISION OF DAVAO DEL NORTE 2019 DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712 TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506 Tel. No. (084) 216-6742 / Telefax (084) 216-6506

CONTROL NO: CONTROL NO:

AUTHORITY TO TRAVEL 315903- 484
AUTHORITY TO TRAVEL 315903 - 484

REGION: XI REGION: XI

BUREAU/DIVISION/SCHOOL: DAVAO DEL NORTE BUREAU/DIVISION/SCHOOL: DAVAO DEL NORTE

DATE OF FILING DATE OF FILING

NAME NAME

PERMANENT STATION PERMANENT STATION

POSITION/DESIGNATION POSITION/DESIGNATION

PURPOSE OF TRAVEL PURPOSE OF TRAVEL

ACTIVITY ORGANIZED/ ACTIVITY ORGANIZED/

SPONSORED BY SPONSORED BY
PERIOD COVERED PERIOD COVERED
(Inclusive of Travel Time) (Inclusive of Travel Time)
PLEASE CHECK ✘ Official Business Official Time PLEASE CHECK ✘ Official Business Official Time

VENUE/DESTINATION PANABO CITY NATIONAL HIGH SCHOOL,PANABO CITY VENUE/DESTINATION PANABO CITY NATIONAL HIGH SCHOOL,PANABO CITY

EXPENSES COVERED TRAVEL, PER DIEM EXPENSES COVERED TRAVEL, PER DIEM

FUND SOURCE FUND SOURCE

MOOE MOOE
(PAP CODE/…) (PAP CODE/…)

Recommeding Approval: Approved: Recommeding Approval: Approved:

School Head CID Chief School Head CID Chief

Date: ______________ Date: ______________ Date: ______________ Date: ______________

F-1-005.Rev 0/ September 05, 2019 F-1-005.Rev 0/ September 05, 2019


LOCATOR SLIP
REGION:
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME
PERMANENT STATION
POSITION/DESIGNATION
PURPOSE
PLEASE CHECK
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING
________________________
Signature of Requesting
Official/Employee
Date:_________________
F-2-007.Rev 0/September 05, 2019
LOCATOR SLIP
REGION:
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME
PERMANENT STATION
POSITION/DESIGNATION
PURPOSE
PLEASE CHECK
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING
________________________
Signature of Requesting
Official/Employee
Date:_________________
F-2-007.Rev 0/September 05, 2019
Republic of the Philippines LH-1-01
Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506
CERTIFICATION
This is to certify that the above employee appeared in this Office
for the above purpose.
Official Business Official Time
_____________________ _____________ ___________
Approved: Signature over printed name Position Date
DR. EDUARD C. AMOGUIS (Note: This portion shall be filled out by the Official/authorized personnel
Chief, Education Program Supervisor - CID of the Office visited
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________
Republic of the Philippines LH-1-01
Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506
CERTIFICATION
This is to certify that the above employee appeared in this Office
for the above purpose.
Official Business Official Time
_____________________ _____________ ___________
Approved: Signature over printed name Position Date
DR. EDUARD C. AMOGUIS (Note: This portion shall be filled out by the Official/authorized personnel
Chief, Education Program Supervisor - CID of the Office visited
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________

LOCATOR SLIP
REGION:
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME
PERMANENT STATION
POSITION/DESIGNATION
PURPOSE
PLEASE CHECK
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING
________________________
Signature of Requesting
Official/Employee
Date:_________________
F-3-01-001.Rev 0/September 05, 2019
LOCATOR SLIP
REGION:
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME
PERMANENT STATION
POSITION/DESIGNATION
PURPOSE
PLEASE CHECK
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING
________________________
Signature of Requesting
Official/Employee
Date:_________________
F-3-01-001.Rev 0/September 05, 2019
Republic of the Philippines LH-1-01
Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506
No.
CERTIFICATION
This is to certify that the above employee appeared in this Office
for the above purpose.
Official Business Official Time
_____________________ _____________ ___________
Approved: Signature over printed name Position Date
ENGR. LOLITA P. ANDAMON (Note: This portion shall be filled out by the Official/authorized personnel
of the Office visited
Chief, Education Program Supervisor - SGOD
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________
Republic of the Philippines LH-1-01
Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506
No.
CERTIFICATION
This is to certify that the above employee appeared in this Office
for the above purpose.
Official Business Official Time
_____________________ _____________ ___________
Approved: Signature over printed name Position Date
ENGR. LOLITA P. ANDAMON (Note: This portion shall be filled out by the Official/authorized personnel
of the Office visited
Chief, Education Program Supervisor - SGOD
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________

LOCATOR SLIP
REGION:
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME
PERMANENT STATION
POSITION/DESIGNATION
PURPOSE
PLEASE CHECK
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING
________________________
Signature of Requesting
Official/Employee
Date:_________________
LOCATOR SLIP
REGION:
BUREAU/DIVISION/SCHOOL:
DATE OF FILING
NAME
PERMANENT STATION
POSITION/DESIGNATION
PURPOSE
PLEASE CHECK
DESTINATION
DATE AND TIME OF
EVENT/ TRANSACTION/
MEETING
________________________
Signature of Requesting
Official/Employee
Date:_________________
Republic of the Philippines LH-1-01
Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506
No.
CERTIFICATION
This is to certify that the above employee appeared in this Office
for the above purpose.
Official Business Official Time
_____________________ _____________ ___________
Approved: Signature over printed name Position Date
________________________ (Note: This portion shall be filled out by the Official/authorized personnel
of the Office visited
School Principal
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________
Republic of the Philippines LH-1-01
Revision No. 0
DEPARTMENT OF EDUCATION Effectivity: April 15, 2019
Region XI
DIVISION OF DAVAO DEL NORTE
TIN 000-863-958-712
Tel. No. (084) 216-6742 / Telefax (084) 216-6506
No.
CERTIFICATION
This is to certify that the above employee appeared in this Office
for the above purpose.
Official Business Official Time
_____________________ _____________ ___________
Approved: Signature over printed name Position Date
________________________ (Note: This portion shall be filled out by the Official/authorized personnel
of the Office visited
School Principal
*The accomplished and signed Locator Slip shall serve as the authority to travel.
Date:_________________